MEDICARE: STEVE C. WALKUP P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	749	OK
2	363A00000X	Physician Assistant	749	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922096742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVE C. WALKUP P.A.

Provider Business Mailing Address
First Line	:	13313 N MERIDIAN AVE STE D
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-8316
Country	:	US
Telephone Number	:	405-755-4290
Fax Number	:	405-755-7773

Provider Business Practice Location Address
First Line	:	13313 N MERIDIAN AVE STE D
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-8316
Country	:	US
Telephone Number	:	405-755-4290
Fax Number	:	405-755-7773

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	04/02/2024

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